Nominee Name *

Please list the name of the person you are nominating

Nominee Agency *

What agency does the nominee currently work for?

Is the nominee a member of IPRA? *

Nominee Phone

Your Name

Your Agency/Organization *

Your Email *

Phone

1. Why are you nominating this person, program, or agency for this award? *

(Describe their contributions, actions, or story relevant to the selected award category. 500 word max)

2. Provide specific examples that demonstrate why the nominee meets the criteria for this award. Use *

(Impact, achievements, creativity, leadership, innovation, or relevant anecdotes. (300 word max)

3. Share a memorable moment, quote, story, or detail that best represents the nominee. *

(250 word max)

Upload Supporting Documents

(Photos, links, documents, videos, stories, etc.) (Please upload as PDF, limit 1 page) (Include any videos as links with a limit of 2 max)

20MB max